| Function Code | Function Description | Object Code | Object Description | Amount |
| 2132 | Medical Services | 616 | Health, First-Aid & Hygiene Supplies | $176.82 |
| 2135 | Occupational Therapy | 336 | Medical Services | $80.00 |
| 2170 | Physical Therapy | 336 | Medical Services | $1,300.00 |
| 2180 | Visually Impaired / Vision Services | 336 | Medical Services | $100.00 |
| 2199 | Other Support Services-Student | 810 | Fees | $3,417.50 |
| | | | Total: | $5,074.32 |